Reply to I do not want to see an NP!

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][b]It is horrifying to me how many people are unaware of how poorly trained the far majority of NP's are.[/b]  They can get their degrees from 100% online programs (AKA degree mills).  They may be absolutely lovely in person, but the bottom line is that they don't know what they don't know.  It is an absolute travesty what they have done to the field of medicine.  Primary care is one of the most difficult things because 99% of the time, everything is fine.  But you need to see thousands of cases of normal in order to detect the abnormal.[/quote]
Exactly, I work in medicine. [b]NPs are poorly trained and are not cost effective[/b]. The patient is billed at the same rate as an MD but the reimbursement to the provider is lower. So the only person that wins is the insurance company. NPs order more tests and do a lot of unnecessary things because they do not know what they're doing. 
I don't want to see an NP because I'm alarmed at the pace at which their scope of practice is increasing. Insurance groups are pushing the NP model because its a huge profit margin for them, but telling people that an NP is the equivalent of seeing an MD/DO trained in family medicine is disingenuous. 
NPs misdiagnose all the damn time simply because they do not have the breadth of knowledge to know when something isn't right. I rarely go to the doctor but when I do I want to be seen by a physician. [/quote]

[b]I was not aware of this[/b], but I do go to the doctor a lot and I'm still okay with being seen by an NP. I don't know if my experience is unique, but I have never been seen exclusively by an NP over the course of treatment/management. On of two things happens: the doctor and NP or PA switch off or I see an NP to do the more thorough Q and A thing and then the doctor sees me more briefly. I would be dismayed if my first meeting with a healthcare professional about a particular issue was with an NP, but for preventative care and continued management I think it's fine, especially since you can often communicate with your doctor through a portal.  [/quote]

You were not aware that the training of doctors of nursing practice is less than 1/20th of the hours of  physician training?  That all their "practical training" consists of  "shadowing" someone only, no hands-on?   That their doctorate is about nursing advocacy and similar topics, not medicine?  You didn't know that there are no unified graduating exams or anything even remotely resembling the nationwide USMLE Licensing Exams for physicians?  You didn't know that nurse practitioners and doctors of nursing practice are held to the *nursing* standard, because they are nurses, and not to the *medical standard* of care in the US *and* in front of court?  You didn't know that basic *working experience as an actual nurse* is not required anymore for the path to doctor of nursing practice?  You didn't know that you can go from online-only degrees straight to independent practice in over half of all states?   Did you know that there are no rules or regulations for specialties as far as NPs/DNPs are concerned, and that they are allowed to switch specialties as they please?   What would you think of your cardiologist, if you knew he had been a psychiatrist until two weeks prior?  Or of your pediatrician, who switched from a geriatrics practice?   Physicians are not allowed to do any of this.

I'm sorry, PP, that I'm using your post as an example, but it's shocking to me how most of the public is not aware of the realities of what our system has become.[/quote]

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